Evidence map›Paper›PMID 35279122›Full record

ArticleBMC neurology2022

Detrimental effect of increased blood pressure variability on clinical outcome in acute ischemic stroke treated with reperfusion therapy: a case control study.

Jingcui Qin, Qing He, Zhijun Zhang

Abstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jingcui QinDepartment of Neurology, School of Medicine, The Key Laboratory of Developmental Genes and Human Disease, Affiliated ZhongDa Hospital, Neuropsychiatric Institute, Southeast University, 87 Dingjiaqiao Road, Nanjing, 210009, Jiangsu, China.
Qing HeDepartment of Neurology, Xuzhou First People's Hospital, The Affiliated Hospital of China University of Mining and Technology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, China.
Zhijun ZhangDepartment of Neurology, School of Medicine, The Key Laboratory of Developmental Genes and Human Disease, Affiliated ZhongDa Hospital, Neuropsychiatric Institute, Southeast University, 87 Dingjiaqiao Road, Nanjing, 210009, Jiangsu, China. janemengzhang@vip.163.com.

Funding

Clinical Technology Backbone Training Program of Xuzhou City 2018GG034Youth Science and Technology Fund of China University of Mining and Technology 2020QN83
6 · The paper itself

Abstract

backgroundBlood pressure variability (BPV) is related to clinical outcome in acute ischemic stroke (AIS) treated with reperfusion therapy, but still is not included in clinical practice. This study aims to associate BPV during the first week of AIS with the outcome at three months.

methodsWe included 236 AIS patients treated with reperfusion therapy, and then divided them into good outcome and poor outcome groups. BPV measurements, including standard deviation, coefficient of variation, average real variability (ARV), and range, were recorded at stages of 2 h, 24 h, and 7 days after reperfusion therapy, respectively. These measurements were compared between the two groups. Then, ROC curve analysis examined the ability of BPV measurements in differentiating good and poor outcome groups; logistic regression analysis detected variables associated with clinical outcome in all subjects.

resultsThe good outcome group exhibited significantly less BPV at all stages relative to the poor outcome group. The BPV measurements exhibited the potential to differentiate the two groups by the ROC curve analysis, especially for those at the 24-h stage. Higher ARV of diastolic BP and higher range of systolic BP at the 24-h stage, together with greater disease severity at baseline, were associated with poor clinical outcome.

conclusionsGreater BPV during the first week of AIS is associated with poor outcome for the patients treated with reperfusion therapy. The BPV measurements play an important role in modulating clinical outcome, and have the potential to be included in future AIS guidelines.

Indexed as

Ischemic StrokeBlood PressureCase-Control StudiesHumansReperfusionAcute ischemic strokeBlood pressure variabilityClinical outcomeReperfusion therapy

Identifiers

PMID35279122
PMCPMC8917724

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